Re Blaisdell Addiction Treatment Center
NPI #1366526105 in Orangeburg, New York
Provider Information
- NPI Number
- 1366526105
- Entity Type
- Organization
- Organization Name
- Re Blaisdell Addiction Treatment Center
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 140 OLD ORANGEBURG RD
- Address 2
- BUILDING 57
- City
- Orangeburg
- State
- New York
- ZIP Code
- 10962-1157
- Phone
- (845) 359-8500
Authorized Official
- Name
- MR. MICHAEL A LAWLER
- Title
- ASSOC COMMISIONER DIV OF FINANCIAL
- Phone
- (518) 457-5312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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